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志愿者在 RUBY 随机对照试验中提供基于电话的母乳喂养同伴支持的体验。

Volunteers' experiences of providing telephone-based breast-feeding peer support in the RUBY randomised controlled trial.

机构信息

Judith Lumley Centre, La Trobe University, Melbourne, Victoria3000, Australia.

School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria3086, Australia.

出版信息

Public Health Nutr. 2020 Nov;23(16):3005-3015. doi: 10.1017/S136898002000124X. Epub 2020 Jun 30.

DOI:10.1017/S136898002000124X
PMID:32600489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10200418/
Abstract

OBJECTIVE

The Ringing Up About Breastfeeding earlY (RUBY) randomised controlled trial (RCT) found that a telephone-based peer volunteer support intervention increased breast-feeding duration in a setting with high breast-feeding initiation. This sub-study of the RUBY RCT describes the motivation, preparation and experiences of volunteers who provided the peer support intervention.

DESIGN

An online survey was completed by 154 (67 %) volunteers after ceasing volunteering.

SETTING

Volunteers provided peer support to primiparous women (n 574) who birthed at one of three public hospitals in Melbourne, Australia, between February 2013 and December 2015.

PARTICIPANTS

Volunteers (n 230) had themselves breastfed for at least 6 months and received 4 h of training for the role.

RESULTS

The median number of mothers supported was two (range 1-11), and two-thirds of respondents supported at least one mother for 6 months. Volunteers were motivated by a strong desire to support new mothers to establish and continue breast-feeding. Most (93 %) considered the training session adequate. The majority (60 %) reported following the call schedule 'most of the time', but many commented that 'it depends on the mother'. Overall, 84 % of volunteers were satisfied with the role and reported that the experience was enjoyable (85 %) and worthwhile (90 %). Volunteers agreed that telephone support for breast-feeding was valued by women (88 %) and that the programme would be effective in helping women to breastfeed (93 %).

CONCLUSIONS

These findings are important for those developing similar peer support programmes in which recruiting volunteers and developing training requirements are an integral and recurrent part of volunteer management.

摘要

目的

“早期哺乳响铃(RUBY)”随机对照试验(RCT)发现,基于电话的同伴志愿者支持干预措施在母乳喂养初始率较高的环境中增加了母乳喂养的持续时间。本项关于 RUBY RCT 的子研究描述了提供同伴支持干预措施的志愿者的动机、准备和经验。

设计

在停止志愿服务后,有 154 名(67%)志愿者完成了在线调查。

地点

志愿者为澳大利亚墨尔本的三家公立医院中分娩的初产妇(n=574)提供同伴支持。

参与者

志愿者(n=230)自己母乳喂养至少 6 个月,并接受了 4 小时的角色培训。

结果

中位数支持的母亲数量为 2 个(范围 1-11),三分之二的受访者至少支持一位母亲母乳喂养 6 个月。志愿者强烈希望支持新妈妈建立和继续母乳喂养。大多数(93%)人认为培训课程足够。大多数(60%)人表示“大部分时间”都遵循电话随访时间表,但许多人表示“这取决于母亲”。总的来说,84%的志愿者对这一角色感到满意,并报告说该体验令人愉快(85%)且有价值(90%)。志愿者们一致认为,电话支持母乳喂养受到了女性的重视(88%),该项目将有效帮助女性进行母乳喂养(93%)。

结论

这些发现对于那些正在开发类似的同伴支持计划的人来说非常重要,因为招募志愿者和制定培训要求是志愿者管理的一个组成部分和反复出现的部分。

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本文引用的文献

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EClinicalMedicine. 2019 Mar 6;8:20-28. doi: 10.1016/j.eclinm.2019.02.003. eCollection 2019 Feb.
2
Peer supporters' experiences on an Australian perinatal mental health helpline.澳大利亚围产期心理健康热线中同伴支持者的经历。
Health Promot Int. 2019 Jun 1;34(3):479-489. doi: 10.1093/heapro/dax097.
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A realist review of one-to-one breastfeeding peer support experiments conducted in developed country settings.发达国家开展的一对一母乳喂养同伴支持实验的现实主义综述。
Matern Child Nutr. 2018 Jan;14(1). doi: 10.1111/mcn.12559. Epub 2017 Dec 6.
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Availability of breastfeeding peer support in the United Kingdom: A cross-sectional study.英国母乳喂养同伴支持的可及性:一项横断面研究。
Matern Child Nutr. 2018 Jan;14(1). doi: 10.1111/mcn.12476. Epub 2017 Jul 7.
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Support for healthy breastfeeding mothers with healthy term babies.为有健康足月儿的健康母乳喂养母亲提供支持。
Cochrane Database Syst Rev. 2017 Feb 28;2(2):CD001141. doi: 10.1002/14651858.CD001141.pub5.
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Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect.21 世纪的母乳喂养:流行病学、机制和终身效应。
Lancet. 2016 Jan 30;387(10017):475-90. doi: 10.1016/S0140-6736(15)01024-7.
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